基本手术:疾病控制优先事项的关键信息,第三版
Charles N Mock1, Peter Donkor2, Atul Gawande3
1Departments of Surgery and of Global Health, University of Washington, Seattle, WA, USA.
Lancet (London, England)
|February 10, 2015
概括
在低收入国家,提供必要的手术每年可以挽救150万人的生命. 投资于必要的外科手术程序是非常具有成本效益和至关重要的普遍医疗覆盖.
科学领域:
- 全球健康 全球健康
- 手术干预 手术干预
- 卫生经济学 卫生经济学
背景情况:
- 世界银行的疾病控制优先事项,第3版,第1卷专注于基本手术.
- 根据需要,成本效益和可行性确定了44种必要的外科手术程序.
- 评估了低收入和中等收入国家手术护理的关键发现.
研究的目的:
- 批判性地评估"基本外科手术"卷的关键发现.
- 突出重要的外科手术程序的影响和成本效益.
- 为扩大外科手术接入和实现全民医疗覆盖提供政策信息.
主要方法:
- 来自疾病控制优先事项数据的分析,第三版,第1卷.
- 评估基本手术干预的成本效益.
- 审查扩大外科手术接入和提高安全性的战略.
主要成果:
- 在低收入和中等收入国家,必要的手术每年可以避免150万例死亡.
- 手术是最具成本效益的健康干预措施之一.
- 任务共享和安全措施,如世卫组织的外科安全检查清单,改善了访问和结果.
- 扩大对一级医院外科手术的准入需要地理扩散和劳动力投资.
结论:
- 基本的手术对于避免死亡和改善健康结果至关重要.
- 对外科平台的投资非常具有成本效益,对于普及医疗覆盖来说至关重要.
- 解决手术安全和获取方面的差异对于公平的医疗保健至关重要.
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